Alcohol and Glipizide and metformin interaction

Alcohol and Glipizide and metformin: the Glipizide and metformin prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Glipizide and metformin (Glipizide and Metformin Hydrochloride) label · effective 2026-06-27

Moderate

…lactic acidosis include renal impairment, concomitant use of certain drugs (e.g., carbonic anhydrase inhibitors such as topiramate), age 65 years old or greater, having a radiological study with contrast, surgery and other procedures, hypoxic states (e.g., acute congestive heart failure), excessive alcohol intake, hepatic impairment, and mitochondrial disease.

Warningsnames AlcoholView label on DailyMed
Moderate

Excessive Alcohol intake —Alcohol is known to potentiate the effect of metformin on lactate metabolism.

Precautionsnames AlcoholView label on DailyMed
Moderate

The risk of hypoglycemia is increased when caloric intake is deficient, when strenuous exercise is not compensated by caloric supplementation, or during concomitant use with other glucose-lowering agents or ethanol.

Precautionsnames AlcoholView label on DailyMed
Moderate

Alcohol Alcohol is known to potentiate the effect of metformin on lactate metabolism.

Precautionsnames AlcoholView label on DailyMed
Minor

Patients, therefore, should be warned against excessive alcohol intake, acute or chronic, while receiving glipizide and metformin hydrochloride.

Precautionsnames AlcoholView label on DailyMed

Curated guidance for Alcohol

Moderate

Alcohol can cause low blood sugar with insulin or sulfonylureas, and heavy drinking with metformin raises the risk of lactic acidosis.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.